Logan Moody
Logan Moody is a Drama Therapist in San Rafael, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
361 3rd St Ste BSan Rafael, CA 94901-3580
Phone: (415) 572-0813
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 384134 (CA) |
|---|---|
| Drama Therapist | Taxonomy 101200000X · Licence 31043 (CA) |
Record details
| NPI number | 1154004869 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 9, 2023 |
| Last updated in NPPES | August 9, 2023 |
| Certification date | August 9, 2023 |